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Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

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I am trying to sleep but may be i am more tired i...

تم تقييم هذه الإجابة:
I am trying to sleep but may be i am more tired i could not sleep and light chest pain is happening

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إجابة الخبير: Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

What is the treatment of sleep difficulty ?
Treatment depends on the cause after conducting the necessary tests , but the treatment can be summarized as follows:
exercise daily
Maintain a daily sleep schedule regularly
Avoid caffeine at night
Avoid smoking
Avoid going to bed with feeling of hunger
Ensure a comfortable sleeping environment.
Use relaxation techniques - such as meditation and relaxation of muscles.
Cognitive therapy - individual counseling or group therapy.
Stimulate mental control - just go to bed when you are sleepy. Avoid watching TV, reading, eating or worrying in bed. Set the alarm clock at the same time each morning , and avoid a long nap during the day
Medical treatments for sleep difficulty include:
Antidepressants
Antihistamines such as hudu tab 1x1
Melatonin which is a sleep hormone
short term use of benzodiazepines such as xanax 1x1
What causes sleep difficulty?
Insomnia can be caused by physical and psychological factors. There is sometimes a major medical condition causing chronic insomnia, while transitory insomnia may be due to an event and insomnia usually results from:
Disorders in the rhythmic sleep routine - jet lag, career transformation changes, high altitudes, environmental noise, extreme heat or cold.
Psychological issues - bipolar disorder, depression, anxiety disorders, or psychotic disorders.
Medical conditions - chronic pain, chronic fatigue syndrome, congestive heart failure, angina, acid reflux disease, chronic obstructive pulmonary disease, asthma, sleep apnea, Parkinson's disease, Alzheimer's disease, hyperthyroidism
What tests should you do ?
medical history
physical exam
mental state exam
thyroid function test
blood pressure test
Wht is the reatment of chest pain ?
the treatment is according to the specific cause so you need to visit the ER to get a medical examination and diagnosis of the cause of your condition :
if you have any heart problems you need to follow up with a cardiologist urgently
you can take Esomeprazole 40mg for stomache problems
you can take Gemifloxacin 320mg once daily for 5 days for chest infection
you can take ibuprofen 600mg for musculoskeletal causes
there are many causes of chest pain that are
chest pain related to cardiac causes such as myocardial infarction or angina
in these cases it's associated with difficulty in breathing, sweeting, shoulder and neck pain
Chest pain related to respiratory causes, such as bronchitis or common cold or lung infection
in these cases, the pain is associated with cough, fever, chest-wheezing
chest pain related to musculoskeletal trauma, in these cause the pain is well localized and for long time and relieved by analgesia
chest pain related to gastroesophageal causes like reflux of stomache acid and hiatus hernia , and indigestion
what tests should you have ?
Physical exam
CBC
Electrocardiography ECG
Chest X ray CXR
In some cases you need to do an ECHO and endoscope

إسأل Licensed Physician

Dr. Mohammad Derbeih

Dr. Mohammad Derbeih

Licensed Physician

الأسئلة المجابة 23118 | نسبة الرضا 98.9%

  • 100% ضمان الرضا
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